BUNION (Hallux Valgus)

Developing bunion is a foot condition that’s on the rise, increasing day by day. Its characterized by a bony bump that protrudes outward and big toe is pushed inward. This bump develops when the pressure on the base of the first metatarsal increase on every step of one walks. Bunion increases the width of the foot so wearing the current shoes/footwear become tight squeezing the bunion and continues wearing ill-fitting footwear increasing pressure on the base of the 1^st metatarsal (ball of the foot). This results in pain, swelling, redness, discomfort. What develops the bunion?

• Medial arch is flat (flat feet)
• Over pronation
• Transverse ach is flattened
• Foot structure abnormalities
• Weak ball of the foot and plantar surface
• Wearing tight-fitting shoes, high heels and narrow-toed footwear
• Genetics

Once the bunion start growing, it is not a matter of esthetic look, but develop deformity in the fore foot region where all the toes metatarsals get disoriented even to the extend the 2^nd toe lap over the big toe, develop abnormal pressure of ball of the foot, claw toes, etc. The deformities lead to pain, discomfort, altered gait and threatens mobility.   Prevention and Care: Early detection and appropriate management from worsening the bunion are essential such as

• Regular foot care,
• Strengthening foot intrinsic muscles
• Wearing wide fitting stable shoes,
• Wear orthotic inserts for support and alignment,
• Avoid bare foot physical activities and
• By any means reduce pressure all around bunion and on the ball of the foot,
• In case of pain and discomfort apply cold pack, and take anti inflammatory medicine to alleviate discomfort